Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144333261 Individual Practitioner Male Practitioner

Dr. John Henry Wallace , DDS

Dentist • Newark, OH

Professional Overview & Biography Verified Profile Summary

Dr. John Wallace, DDS is a registered healthcare professional specializing in Dentist in Newark, OH. Practice services are available at 583 MOULL ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

583 Moull St

Newark, OH 430552909

Telephone 7403661988
Fax 7403640774
Associated Practice Facility / Clinic
🏢 Newark Dental Group, Llc Facility NPI 1376055509

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Newark, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
6 Specialists

Practicing in Newark, OH (2953 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OH 16606

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0434800 (OH)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 583 MOULL ST, NEWARK, OH 430552909 (Tel: 7403661988)

📍
Updated Business Mailing Address July 08, 2007

Registered at 583 MOULL ST, NEWARK, OH 430552909 (Tel: 7403661988)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN WALLACE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #16606 in OH)

🟢
Initial NPI Registration & Enumeration August 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144333261
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

583 Moull St

Newark, OH 430552909

Phone: 7403661988

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.